Understanding how people living with bipolar disorder talk about risk on social media

了解双相情感障碍患者如何在社交媒体上谈论风险

• 批准号: 2387300
• 金额: --
• 依托单位: Lancaster University
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2387300
• 关键词: Understanding; how; people; living; bipolar

Individuals living with bipolar disorder are likely to engage in behaviours which can be risky forthemselves or others [1, 2]. This includes increased prevalence of suicide and self-harm, excessivespending, alcohol or drug use and risky sexual behaviour [3-8]. Understanding more about thisbehaviour is crucial as with the right help people living with bipolar "have the potential to returnto normal function with optimal treatment"p 45 ([9]).Current psychological models of bipolar explain risky behaviour as an attempt to avoid low mood,a response to mood elevation or to impulsivity/sensitivity to reward [1, 10, 11]. These approacheshave informed the development of psychological interventions to improve coping strategies formood change. However, the effectiveness of such approaches is mixed and evidence is lacking for improvements in the functional and recovery outcomes which qualitative research has shown arevalued [12, 13]. Current research has relied on questionnaire measures of hypothesisedprocesses, which limits what can be learnt about the subjective experiences of people living withbipolar. For instance, they tell us little about how such individuals define risk, why they chose toengage in some such behaviours and how socially normative such behaviour might be. It is cleartherefore, that a mixed method approach is needed to understand the processes which underpinrisk in bipolar. This should combine in-depth qualitative approaches with methods that explorehow people describe their experiences in natural language, not constrained by typical research orclinical settings. This is particularly important for risky behaviour that is likely to have beenstigmatised.Services users increasingly

患有双相情感障碍的人可能会从事可能冒险或他人的行为[1，2]。这包括增加自杀和自我伤害的患病率，过度努力，酒精或吸毒以及有风险的性行为[3-8]。对这个行为的更多了解至关重要，因为与合适的双极性人士“有可能通过最佳治疗返回正常功能” P 45（[[9]）。当前的双极性心理模型解释了风险行为，以避免情绪低落，对情绪升高或对冲动/敏感性的反应或奖励的危险[1，10，10，11]。这些接近的避难所为改善应对策略的心理干预措施的发展提供了信息，形成了变化。但是，这种方法的有效性是混合的，缺乏证据表明定性研究表明的功能和恢复结果的改善[12，13]。当前的研究依赖于假设程序的问卷调查，这限制了可以从贝尔皮尔居住的人的主观经历中学到的知识。例如，他们几乎没有告诉我们这样的人如何定义风险，为什么他们选择某些这样的行为以及这种行为的社会规范性。很明显，需要一种混合方法来了解双极性的下孔的过程。这应该将深入的定性方法与探索人们描述其自然语言的经历的方法结合在一起，而不是受典型的研究或临床环境的约束。这对于可能已经被宣传的危险行为尤其重要。服务用户越来越多